| NPI | 1861565939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114456) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7690) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-11-16 |